Provider Demographics
NPI:1609921477
Name:WYOMING DEPARTMENT OF HEALTH
Entity Type:Organization
Organization Name:WYOMING DEPARTMENT OF HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:PASCUAL
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMIRIZ
Authorized Official - Suffix:
Authorized Official - Credentials:BSW
Authorized Official - Phone:307-777-5413
Mailing Address - Street 1:6101 YELLOWSTONE RD STE 420
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82002-0001
Mailing Address - Country:US
Mailing Address - Phone:307-777-7941
Mailing Address - Fax:307-777-7215
Practice Address - Street 1:6101 YELLOWSTONE RD STE 420
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82002-0001
Practice Address - Country:US
Practice Address - Phone:307-777-7941
Practice Address - Fax:307-777-7215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare